CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Luke's Nampa Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $268
Cash Discount Price: $407
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St Luke's Nampa Medical Center is $268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $407. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.71x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.

Cash / Self-Pay

$407

Average discount available for prompt cash payment at this facility.

Insurance Median

$268

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)

Cash / Self-Pay: $407 (259%)

Insurance Median: $268 (171%)

Cash: $407 (259% of Medicare)

Ins. Median: $268 (171% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$106 - $334	68%
Blue Cross Blue Shield	$177 - $348	113%
Commercial [1028]	$177 - $366	113%
Mountain Health Co-Op [1067]	$177 - $265	113%
Pacificsource [1020]	$177 - $305	113%
Select Health [1063]	$177 - $265	113%
Slplan Tap Mc St Lukes Health Plan [1641000001]	$177 - $265	113%
St Lukes Health Plan [1046]	$177 - $265	113%
Regence [1005]	$255 - $268	162%
Blue Shield Alt [100401]	$268	171%
Regence Out Of State [1004]	$268	171%
Aetna	$326 - $366	208%
Cigna	$326	208%
Providence [1022]	$326	208%
Webtpa [1071]	$326 - $346	208%
Geha [1065]	$334	213%
United Medical Resources [1051]	$334	213%
First Health [1064]	$336 - $346	214%
Moda [1055]	$358	228%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $407.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Luke's Nampa Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.